Individual
MARYBETH BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 PEMBERTON ST APT B, WALPOLE, MA 02081-0035
(508) 596-8760
Mailing address
36 PEMBERTON ST APT B, WALPOLE, MA 02081-0035
(508) 596-8760
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2267179
MA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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